LeadUS Mentoring Program 2015-16

Players By the Sea Board of Directors Applicant
Personal Information
Name

LjJast NameFirst Name
Date

MonthDayYear
Date
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Home Phone
Format: (000) 000-0000.
Birth Date*

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Demographic Information
Place of Birth
Gender Identity

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Business/Work Information
Title/Profession
Company Organization
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone
Format: (000) 000-0000.
Please list your current and/or past Board experiences
What are your current associations and/or club affiliations? (include titles if possible)
Please list your skills and expertise
What is your educational background?
Please describe in details some of your greatest strengths and weaknesses
What do you feel is essential to ensure that the Board and staff are successful in attaining the goals for Players By the Sea?
What experiences, expertise, connections, or resources would you bring to Players By The Sea Board of Directors?
Please detail your interest in joining this Board
What type of Board tasks do you prefer?
Please let us know if you have any specific project ideas you would like to propose.
Have you ever been engaged in any specific fundraising efforts? If so with whom, how, and what was the amount raised?
Players By the Sea Board of Directors will initially have 4 standing committees: (1) Board Building & Governance, (2)Executive (3) Finance & Human Resources, and (4) Program (Repertory). Please check all that you would be interesting in joining.

Board Building & GovernanceFinance & Human ResourcesExecutiveProgram (Repertory)Other
How much time would you have to dedicate to the company (a week, a month, etc…)?
The Board of Directors are an exciting and engaged governing board. Board members are required to attend 4 quarterly meetings, one annual face-to-face meeting once a year, and any standing monthly committee meetings, which occur outside of regular board meetings (this can be in person or virtually). Board members are expected to be timely and present at every meeting with a maximum of two absences from board meetings. Between work within and outside of meetings, hours of commitment would probably vary between 4-6 hours per month. Board members are also encouraged to participate in fundraising and development activities, which include an annual donation of $1000.00 in a Give or Get policy . Board members are expected to commit to the role for a minimum of one year. Will you be able to make this commitment to the Board of Directors?

YesNoMaybe
After your application has been reviewed you may be asked to interview in order for us to get to know you better. Please have a list of references available upon request.

Thank you for your interest.

I certify, by my signature, that the information contained within this application and all supporting documents (i.e., resume, recommendation letters, etc.) is true, accurate, and complete to the best of my knowledge. An electronic signature is accepted.
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Players By the Sea Board of Directors Applicant

Personal Information

Demographic Information

Business/Work Information